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BP-61999C I � �, . �.. '��� ..�w ;tea SITE TICS z 3��_ �T. IT S zz f - 1. LOCUS 1 L & , -( �� S LOT 11 9 11 17 OF PLAT o. D 63, N ARTMQUTH, MA. _ 2. ZONING LIMITED INDUSTRIAL MIN. LOT AREA = 43,560 s.f. 3. SITE AREA = 1.52 ACRES (66,000 s.f. 4. REQUIRED FRONTAGE = 150 .- 5. MAXIMUM LOT COVERAGE 65% Cn � z 6. BUILDI�I G USE 0 AUTO REPAIR SHOP WAREHOUSE -. a F 7. SITE LOCATED IN FEMA FLOOD ZONE "X" MAP # 25005CO386F w a _ n a SITE LOT COVERAGE . w U .� ry EXISTING PROPOSED ii w rn o Wd AREA % LOT COVERAGE AREA % LOT COVERAGE C :2 °- > rr Cl BUILDING FOOTPRINT 9,940 s.f. 15.06% 14,320 s.f. 21.69% w PAVING & WALKS 25,267 s.f. 38.28% 28,515 s.f. 43.20% ct TOTAL 35,207 s.f. 53.34% 42,835 s.f. 64.89% o m z n o . U) S. BUILDING SETBACKS. cn REQUIRED EXIS-1,112S L ce RIGHT OF WAY 50 50.5 N .- PROP LINES 25 50.1 �, PROPERTY o �. o d 9. PARKING: 0) 00 EXISTING17 STANDARD/1 ACCESSIBLE C) o REQUIRED = 1 PER 400 SF GROSS FLOOR AREA + 1 PER EMPLOYEE = 14,320 S . FT. 400 S . FT. + 10 EMPLOYEES= 36 SPACES + 10 SPACES Q / Q r o MAP 63 LOT 1 1 1 1 = 46 SPACES 44 STANDARD/2 ACCESSIBLE z - 6 AR 1 ACCESSIBLE TOTAL 4 SPACES 45 STAND D N F EX. D.I,4.H. � / 10. MAXIMUM HEIGHT OF BUILDINGS = 35' 1 MAP 68 LOT 36 tNOF s VENTURA _PARK LLC � EX. C.B. F N/ o cHs�l'a i I PAUL R. &RAYMOND W. 1 PEASE .„ 1 o � l/EN TURN DRI 1/E � Ex. HEADWALL Gis4 - - - - - - - -- - __- - - - - - - - - - - - -- a TOP OF %VALL=128.0 20 DRdINAGEEASEMENT F 0Np` -EX. HYD. EX. INV.= 124.71 N80'S1 22,>E � j -�-ALL LAYOUT DIMENSIONS NOTED I 6" LOAM & SEED " 1„ TO REVEAL FACE ARE TO THIS LINE OVER GRANULAR FILL 6 'S1 EX. '22„E 60 ACCESS EASEMENT --- __---_ LOW PRESSURE FORCEMAIN N80 REFER TO STANDARD (3 E w !r \ 14 6'HIGH GREEN .-_ _ T PAVING SECTION z cv U -�- r) _ GIANT `ARBORVITAE-C� - _ , 4'-0" O.C. SCREENING _I 1- I ,. / 131.75 / 11 x- g 675.0)' T I i- {� o �o N 1/2 NEW FENCE TO 13.7 f 1- DOWEL v) o �l EXIST. PCC CURB _, N AND CHAIN LINK - = = - = = = = _ = =MEET -_EXISTING _ _ ; - 44- = -- - - - - - - - N$0'S1'22"E �/ 18" ° w Q -- FENCE TO REMAIN 'I 49.62 .� - - - � ._ - _. - - - - -..., - .- -- - - - -' CURB SHALL BE 5000 psi CONC. �. W/ (2) #4 REBARS & INTERLOCKING o d'o ❑ EX. ARBORVITAES DOWEL PINS SYTEM. FILL & TOOL a CLASS "C" CEMENT ON ° I- = � NEW; PCC BUTT JOINTS W 3 8 -1/2 - D TO REMAIN it % / „ ►- m �7 A Ii \ CEMENT MORTAR. a o 0� p 4 BT. SIDE COMPACTED - GRAVEL ON BACK SIDE 00 �- ----------- - --- -_--- - v \ 00 II U) 11 ::::::; ......... EX. ARBORVITAES " " " L>r 0 °� II 6 , 6 :D Lu ................................ TO REMAIN 6" GRAVEL OR CRUSHED � W _ � �. I J STONE SET TO EVEN GRADE .�.. LLl Q �` v d ................. . EX. ARBORV1TAES _ _ - _ - - - _ _ 0 +19 �-6 SPGS C� 9 - 54.Q - - - - - to �a - z TO REMAIN II LO rn \ `} HAYBALE & SILT(a)t .......... �I�--- "� :'::.:..:: rl 2 DETAIL OF PRECAST CONCRETE CURB r� z W � BARRIER LINE C4.1 1 (D ... .......... t'- t Il W 1 N.T.S.NS n- II c .1 2 li 0 0 u ( I M NEW PQ,G ,, c� o ca / , .1 Z i .42 I---- u' Ct f U o d- � ::•:::•: w�:•::•:: S NEW`BI . CONC. 3 II U ,r, o T, .... PAVEM�JT f l [L z 10 SEA BEEN JUNIPER ll ::::::::::::.:.::::::::::::.:: EVERGREE SHRUBS SPACED o c CD EX. CURB BIT. _CONC s II O =� " o MAP 63 LOT 11-8 . CONC II z c� . STRIPED PARKING B!T EX N F _ _ - STALLS (8 TOTAL) EX. PCC CURB NEW,cc :::. / t II TO REMAIN „ �:•:::•: •:•::• ............•. l0 " I GUY WIRE AND RUBBER HOSE AS SPECIFIED I _ r..::::.::::::::. N (I i m BAY STATE I 14 48 -2 ::::::....4 .................. ff!� �- < II GUYING MATERIALS. WIRE 2 STRAND TWIST 12 GYMNASTICS II - -= = _ _ = - _ = - MAP 6 1-18 !!� f��1............... II 3 LOT 1 GAUGE WIRE OR SYNTHETIC OPTION. PROVIDE w LLC --- -_ �� �J .- ...:r :•:...:,..oaI............... II TURNBUCKLES TO TIGHTEN GUYS AS NEEDED Z Y REALTY , II T , 1 ( l II N E 'I Iilitle�u���„etn311d1 I� U T I CONC. WALK I� i� CONC. WALK / II II / .......... ANIMAL RESCUE f :.r».::::.:.:.:. DEEP MULCH o U N 11�'PCC � ............. ................ t rn If 3 GH ...... ...... 2..... II .......... � ............. , f o LEAGUE OF NB t, ,............. li a, V :::.. k1- .... •.:.:::::::::: FORM SAUCER WITH �/CD ACCESSIBLE SPACE & � •: �,,�:::.�:::::::::: � it �� . " 1 1 ACCE p .�........... o fl -: ° 3 CONTINUOUS RIM ' PROPOSED ASSOCIATED 9 w. AISLE I BUILDING ......:u1::.::.:::::: ii n, . rP1� , i�i;i �r . , I Ir ----- MAP U3' LOT 11-9 & 11--17 :: _ EXISTING SUBGRADE I II ADDITION :•::... '•::•:•:•. :......:::::::::: I .. (! - _ : •.,:.• _ �i---I II . . - �:.•::::.:: :... _ P I AS SPEC N -�s- 1- �,., rt.:-.,.. CANTING MIX SPECIFIED P ............NEW.PCC II VITAES II/ EX, ARBOR / %�� : •. ......... ..........:.. HA ALE &SILT 1 .� � ��-iii- � -ter �r�_ I / , _ .':':::{:::............. �-�i�f-�i ��n � � ��� WATER AND TAMP TO REMOVE AIR TO REMAIN 11 �- ALVARO P. CORREIA -CO CR�TE,"STAIRs , .c.. ,..... \ - .� ,� ::::: 2 :::: • .......tip :..... t BAR IER LINE c4.1 POCKETS Ij EFER .,;Td ARCH . , � 1l -- � � , 4 -,7" ............................. TREE PIT . ::::::i::•:.:.: :.::::::.::::... EX, RBORVITAES DUCK BILL TREE ANCHOR OR APPROVED EQUAL II �. DWGs./F K DETALS/� ------ _ _---- - \ . 1 ADDITIONAL STANDARD �'':TOR MAIN - - - - -- - - - - - - - - 1.5x(ROOT BALL DIA.) c7: i EXISTING SOIL: PARKING SPACE 09•:::•:..._::•..•:::::::::•::::::: SCARIFY AND LOOSEN PIT BOTTOM NOTES: 1. PLANT SO THAT TOP OF ROOT BALL IS EVEN WITH THE FINISHED GRADE - -- -- _-----._-__ ^-----_ - - - - - �---.----_......-_---.------- ---- �► �' : + =`- 2. REMOVE ALL CONTAINERS AND BASKETS FROM ROOT BALL 3. REMOVE BURLAP FROM TOP ONE THIRD OF ROOT BALL 4. STAKE TO MAIN BRANCHES AS NECESSARY FOR FIRM SUPPORT ' EX. STRIPED PARKING - - - - - - - - -- _ STALLS (10 TOTAL) 5. GUY SHALL NOT TOUCH OR RUB ADJACENT TRUNKS OR BRANCHES R R 6. PAINT ALL CUTS OVER ONE INCH (25.4 mm) DIA. L20 DRAINAGE EASEMENT EX. BUILDING gr AYBALE & siLT 3 ARBORVITAE PLANTING STANDARDEX. STRIPED ACCESSIBLE BARRIER LINE Q Ci.1 N.T.S. PARKING STALL (1 TOTAL) z MAP 63 LOT 12 _ N/ ® o - Q� �C i SITE LAYOUT PLAN z o C1.1 SCALE: 1 "=30` �z m } 0 00 0 d 0 GRAPHIC SCALE Q _ I- 30 0 1s 30 60 12d Q LlZ Q r� CL pip � W I < N Q w. I W FEET 1 inch = 30 f w ►- JwJ I-- J Ld JOB NO. 999031.00 DWG. NO. ' c a c> >- z z m to z z I 1' O h LiJ LJ fY c) W ® W f d W m Ld El. 1.d CC Ll. C? Z O Ls.! Fn D V Q N fT - irI Do MAP 63 LOT 11- - 11 m co 0 0 N/F Ex. D.M.H.. ar MAP 68 LOT 36 N - T VENTURA PARK LLC z I EX. C.B. N/F I PAUL R. 8c RAYMOND W. VEN TURA DRI VE / PEASE / EX. HEADWALL cam` _, �G — — — — — — — — — — — ——_------- -.� TOP NV WALL-128.aEASEMENT— EX.P R r , 20 DRAINAGE 8 WATER o -EX. FIRE I.1YD. EX. INV.= 124.71 N80 51 22 E -- o-��� 11r 5 D � -Q �� 8" WET TAPO G SLEEVE, GATE ---_ W - - RA —� - �, _ „ VALVE AND THRUST BLOCK G1S v � � EX. 8 C.L.D.L , : , FO ACCESS EASEMENT � _ -PR£SSURI" ORCEMAIN ' N80 51 22 E rol�AV EX. LOW- E _ VJ . L VJr' ac� - v oo ZN - 1-3-1.75� o � � GV� 675.00 r �� EX. 1 WATER SERV. i / /FM I -- - - - - -- ---- - 22E _ N8O51- ______ '� `�-' .��- I-, I/ > }- J ti o r,, 0 � EX. 1-1 /4 SDR-21 P.V.C. a PUMP DISCHARGE \ O ck 4 w rV AYgAck�o EX. ENVIROid6ENT.ONE BARM�LE &SILT a ¢GRINDER PUMP STATION IER LINE EX. INV. IN= 122.5 11 z to 8 CLDII IfiRE SERVICE C7 EX. 2 ELECTRICAL LECTRICAL N `` 11 Il i / / �Ir } ( II II Z W CONDUIT `® W z eL EX. TRANSFORMER-4.M TCH E?IST. PAVEMENT + y lI o q I - a (TO REMAIN) �z � -T /-- —129 EX. G9S'TRAP C4.1 GRADE w NEW PAVEMENT I ' 11 II Z W II�Z� it _R1a4� , 27.8 III I I � MAP 63 LOT 11-8 —1 29-• -- - — -� = j INV. IN= 123.8 �i \ INV. OUT= 123.7 �2� ti II Il - V? s � LC) N F p o 0o o � �� Y STATE s s " c l v' �' U 8A ATE- II > -r � " � / / 11 2&` PVC 4 PVC � II GYMNASTICS __ _ — _ I C Il - - - - - - - - --- --- - I - --- _ , .° MAP 63, LOT 11-18 �_ � IPCO/REALTY LLC I _---- III • .. m I ## I IN F # 1 11 / II j m a ' II ANIMA ff W EX, S.M.H./ I 1L RESCUE � I f�,,,,��t„ I 1�1� .I _ � � � �n I z x / II i Illiutu nnur!II ,. II RIM 12J.3 _ ..- � j / o II L AG,UE OF NB _ I JI Illjl p � � 1� I = C.T.E. SEWER IPE ELEV.-123.9� o �jj !I(� �,U! w INV. IN 123.4\, Il Iff , - +I� z / IIIL, „ .,,l�.. II INV. OUT= 123.3 CONTRACTOR TO VERIFY IN FIELD / I , co {I p U I. II , � r o II - '� 11 �;_ MAP 63 LOT 11 9 & 11 17 � II � li li II N/F - / HA ALE & SILT 1 II it �f` ,� / , LL_ ALVARO P. CORREIA ? � ✓ BAR ER LINE C4.1 � II o. F125.0I II .F.o � I, 1 [!- _ IL _ - - - Y l w - ; - _ _ - - - �- _ -- -DOUBLE GRATE �� - „_---- _-- - - -- --- CATCH BASIN - ---- --1 2 - -___ � _ ---- _ 1 z-- , -- - - - _ � - � ._._ _1 - - ____ ---•�. RIM=121.50 7 8 121 7 7 7 -1 r s� `� �.- C4A C4.1 -- - - �- -� INV. QUT=115.30 - i 1 20' DRAINAGE _EASEMENT t 12 RCP C4.1 1 \PAYRAI r 1b fill Ti c, 00 \ _ / /rl EX, A BORMTAESaf EX. 1-1 �� SDR-21 P.V.C. r:_- — j , t C.� w �. \\ I f Ii R&D Ell" TO REMAIN II z PUMP DISCHARGE \ o FENCE C / / �; EX ARBORVITAES EX. ENVIRONMENT -ONE _ TO REMAIN I � HA ALE& SILT v GRINDER PUMP STATION BAR�IER UNE Loo EX. INV. IN= 122.5 00EX. 2 ELECTRICAL N / II [� Z _ 11 // / �-___ / / I! CONDUIT - 1.42 II R&D EX. CURB I� I / II ©ra CID Y `� i24 _ -- — 3 j� v / r4r) L0 v _ EX. TRANSFORMERroo- N � _._. � » � ;._._ ._.-. — � — �.� � _.._ �� i IIa -�--� - -T%{TO REIv1Al1J} � EX. G TRAP z 9s I I I � ll _ , � INV. IN- 123.8 ..� � II MAP 63 LOT 11 8 12 / \ INV. OUT= 123.7 Otis / _Lo LO .� / hf II I Ilur,r „mql Z y — — T —:. � nr N _ EX. PCC CURB / f , • II I ,I , II II I� 1111�,uI ,�I w �' TO REMAIN JR& E .BIT. , / .tom II 4 _ /. s- !I Ill�rl,ln. ..� ....i11L,i, 1.� _ SAY STATE II -r s � s / t / CONC. AAVEMENT � �. # � II � U x / it GYMNASTICS..,�..L...._.._........._..�...._...._.. ............................................... MAP 63 •::..........::::::•::.....,........................ f L07 11 18 ........... / 11 REALTY LLC _ W _ ..................................................... � II I � � ti II ................................................. f i fl IN 1= ........................ / 1! ......................................... j Il — Ex. S.hr1.H. ' / �n li L RESCUE 1 = 7................;•:::.:::::::::.:::::::::•:::::: F II RI 12 .3 LEAG Il a E OF NB I 2:.� I I INV. II!- 1 ............. _.................................................. A oo II INV. our 23.3................................................. f Il.....................:..........................i . II ................................................... i o ................................................... � z it II -...............,..................,................ Il MAP 63 LOT 11-9 & 11 17................................................. . L.......................................... ....:.... I REMOVE & P TECT 13 t.................................................... I EX. ARBORVITAES l NF ................................................... HA A 1 OF CUB & 15� OF .FENCE YB LE &SILT TO REMAIN II R................................................. i i t � _ Il- ALVARO P. CORREIA.r....-�............................................. REINSTALL ONCE BLDG................................................::::: i BAR IER` LINE C4.1 Q :�:.. i i ............................................... i l ADDITION IS COMPLETE ..................................................... � � f II /................................................... ✓ EX. RBORVITAES - .........................,..........................� i \ -- — — r ~\.................................................... � TO MAIN- t:: F.F.E. 128.Q0 '•-:rE-.::::::•::::::: ::::::::.:::{:•::•:..r,� -- -- LL L — r 1 l -�-�`- - - - J 121 t 24~-� _ t 18 j J 7-� . 1 1 g� a R&DI:EN 'EX. CE R&D -EX. CURB 20 DRAINAGE EASEMENT -- p = 1 HAYBALE, & S11 T C REMOVE & DISPOSE OF EX. O C4.1 BARRIER LINE C 0 CATCH BASIN, STORES DRAIN Q PIPE & FLARED END.. SECTION z w MAP 63 LOT 12 < NSF �- z GRAPHIC SCALE I m mow' 30 0 16 30 80 120 o0 0 li r 0 0 Co m 1 SITE DEMOLITION PLAN n� >r>j�r W t } SCALE: 1 "=3O' 1 inch = 30 ft. Qw QU > t� �..�.J Q i °v Q W w CL U JOB NO. 999031.00 DWG. NO. C3ml I, E SITE LEGEND o >- V XISTI NG NEW DESCRIPTION , Zz E 10 O.C.SILT FENCE w L / l 2 x' 2 x 3 WOOD STAKE vs�-•� �_. L�-R, R(MAX)D STORM DRAIN ( b o „ „ R � n 4 -- ELECTRIC UNDERGROUND .� _.�---F 1 x 1�i x 4 2 PER BALE E ELEC ) E { I I WOOD STAKES j'� _ i ND ! FLARED £ SECTION F F FI RE SERVICE I 1 i I REF S. 1 , ER TO DWG G GAS I G � i I - FOR INVERT AHW OVERHE AD WIRE I I al-Iw � L I � o (PROTECTED I , O PROPERTY LINE 1 U PL PL R AREA ww. L -----•--- S SANITARY SEWER I LOCUS I , W WATER W • �^ 64 _ ,. I I „ .. _ . ____-- CONTOUR .t .a .._ ..- �. 64 1 r, �I Z O _-� __ __ urn _ -. _ CAPE COD BERM sHv ..: •. .• BALE TWINE TO BE RIP - RAP _ � _ -- - v _ I .. .. .- f RIP RAP M2.O2.3 STONE I•- H cc6 I - • ;. PARALLEL TO - " a - . • ,� •_ PROTECTION 50 Ihs & OF CRUSHED 3 4 h.J _. 'r ,._. •MIN / o - CHAINLINK FENCE _ < GROUND SURFACE � - x- x--�-x�c w ., STONE BEDDING -� X X I _ _ � O X .- r ✓ U .,... - - • , ... FLOW •_ - RIP RAP PROTECTION © DRAIN MANHOLE PRECAST CONCRETE Ld nMH o I FLARED- END SECTION _ ., CATCH BASIN .. I :..WORK GCB I STAKED BALES ❑ I AREA WATER SERVICE � ui r w w UTILITY POLE � C7 � 0 FIRE HYDRANT a p p I' a H D -1i 14. Ln Y ' . - FLOW Z is GATE VALVE AND CURB -BOX o r� o GV GV " .� ELECTRIC MANHOLE ----�� m J ® STAPLE N � _ _coos NATIVE SOIL TELEPHONE MANHOLE " N Z' B LIJ D � O CC.. APB ELECTRIC PULL BOX -1r_ .� z ZE (MIN.) B Cl co C) Q . DRAIN Q r a WETLAND � � C3 A v, oa „ a o „ •.+ ELEVATION FIRST FLOOR) F.. .FINISH FLOOR ELEVA SITE LOCUS F. E {6 MIN. BACKFILL F.F.E. STAPLE GROUND GLEANOUT ; 9GC0 N.T.S.NTSOVER FABRIC PLAN VIEW WOOD STAKE JOINT DETAIL r O V INV. INVERT ELEVATION. 1N . �° �� FLARED EN z N.T.S. NOT To SCALE 1 DETAIL OF HAYBALE &SILT BARRIER � - D DETAIL C4.1 N.T•S. C4.1 N.T.S. EROSION & SEDIMENT CONTROL NA RRATIVE a� ©MW © SYSTEM MAINTENANCE 1. STAKE THE LIMIT 01= WORK TO ENSURE THAT ALL WORK WILL BE INSIDE THE EROSION CONTROL FACILITY. STORMWATER VATE[� �7 MESH. THE MESH WILL INCLUDE F WORK WILL BE INDICATED BY ORANGE CONSTRUCTION ME - THE LIMIT O l ROADS, DETENTION RETENTION BASINS, EQUIPMENT STAGING AREAS AND OPERATION NOTES: BUILDINGS, PARKING FACILITIES, ACCESS R / L MATERIAL STOCKPILE AND HANDLING AREAS. O BE MONITORED THROUGHOUT THE ENTIRE CONSTRUCTION PUMP tP AND AL THE DRAINAGE SYSTEMS ARE T DISCHARGE � PERIOD BY THE CONTRACTOR. UPON COMPLETION OF THE ` PROJECT THE MONITORING 11E DOWN HE START OF ANY CONSTRUCTION ACTIVITIES ON SITE, APRE-CONSTRUCTION CONFERENCE U OBODY HEREAFTER REFERRED TO AS THE OWNER. HOSE STRAP 2. PRIOR TO 1 SHALL BE .THE RESPONSIBILITY OF APC A T , SHALL BE MELD ON SITE TO ESTABLISH SUPERVISORY AND INSPECTION PROCEDURES FOR SEDIMENT AND LANDSCAPED PAVED . AREAS AREAS INITIAL MACHINE CUT `ON OF �� S'10NAV•`� EROSION CONTROL MEASURES. THIS MEETING SHALL BE ATTENDED BY THE CONTRACTOR, OWNER & ENGINEER. MONITORiNGIMAINTENANCE PROCEDURES DURING CONSTRUCTION SHALL PAVING FOR #NSTALLA',. LANDS OR PROPERTIES AS MAY BE THE RESPONSIBILITY OF THE CONTRACTOR AND ARE AS FOLLOWS: 3. THE CONTRACTOR SHALL BE TOTALLY RESPONSIBLE FOR PROTECTION OF ANY LA FINISH GRADE PIPING 0 ANY AFFECT OR BY-PRODUCT OF HIS DEMOLITION/CONSTRUCTION EFFORT. SPECIAL CARE 1. SILT BARRIER: WATER = .�,. _ 6" LOAM SEEDED - 1= =1 = EXISTING PAVING BE SUBJECT T WEEKLY BASIS AND AFTER EVERY RAIN STORM. REPAIR ANY PUMP _-=� I r f,?t -B" GRAVEL BASE TO SHALL BE TAKEN TO AVOID EROSION OF FILL OR CUT SLOPES ONTO ADJACENT PROPERTIES OR DOWNSTREAM MONITOR SILT BARRIER ON A HA FLOW NI/ MEADOW MIX IMMEDIATELY BY THE Y. REMOVE ALL CAPTURED SEDIMENT AND DISPOSE OF. .:•`::': ;:;';.:;... ,.1. .'"", '- 12 MATCH EXISTING U i SILTATION OF DIVERSION OF EXISTING DRAINAGE, ANY DAMAGE IS TO BE CORRECTED DAMAGED AREAS IMMEDIATELY. CONTRACTOR AT NO COST TO THE OWNER. SEWN IN ' ..° � �...: ; . •, ... '' AFTER INSTALLATION, TESTING � i .a CLEAN BANK RUN GRAVEL, '> - y' ,' ": NCH- r ' & BACKFlLLING OF TFi 2. �S: SPOUT �� ..:^ ;,,,.:.; :, '..:: 4. GENERAL 8fQUENCE SHALL BE AS FOLLOWS: PARKING LOT ROAD AND ALL ACCESS WAYS AND GUTTERS SHALL BE SWEPT CLEAN NO CLAY, COMPACTED IN LACK AN a' SHALL BE PERFORMED ON A WEEKLY BASIS. 9 LIFTS TO 95% MPT SAWCUT THE PAVING T BARRIER PRIOR TO ANY EARTH WORK OF ALL DEBRIS. SWEEPING 5 AYBALE SIL .:;.-•;-�•, ^;.`::s.:.•:,;.:,•:::.,.,-:.., ADDITIONAL i2 OF E�,SiING a � A, ESTABI� H H / (NO STONES OVER 4) COMPACT ., ., .�• • :•: ::. ,• PAVING GRADE & CO#d1'ACT O o B. INSTALL EROSION CONTROL DEVICES. 3. CATCH AS B TA I- DANDY WITH MECHANICAL TAMPERS :• .'.• ... .., ' ... GRAVEL- BASE PAINT SAW EDGE (%� c c g CATCH BASIN SHALL BE INSPECTED AFTER EVERY RAIN STORM. SHOULD CATCH BASIN C. PERFORM MASS EARTHWORK AND ROCK EXCAVATION FOR THE SITE. DEWATERING BAG up EXISTING AND PROPOSED DRAINAGE STRUCTURES FROM SEDIMENT BY SUMPS BECOME FILLED WITH SEDIMENT TO HALF ITS DEPTH (2') THEY SHALL BE CLEANED 48° 6" & EXISTING PAVING (BLAYERS w ITUMEN J � D. PROTECT ALL N BAG 11 CATCH BASIN INSERTS, REMOVE ALL ACCUMULATED (FILTER SOCK) MlN. &PATCH TRENCH Wj.US) CONC. IMMEDIATELY. FOR DANDY ��/ OF TYPE I 1 BITUMINI"� � THE U-E OF DANDY BAGS AND HAY BALES AT CATCH BASIN AS DETAILED. SEDIMENT AND DEBRIS FROM VICINITY OF UNIT AFTER EACH STORM EVENT. AFTER EACH FILTERED 3/4 CRUSHED REFER TO STD. PAVIN, SECTION SHALL SILT LADEN WATER BE ALLOWED TO ENTER ENVIRONMENTALLY SENSITIVE AREAS AND STORM EVENT AND AT REGULAR INTERVALS, LOOK INTO THE DANDY BAG 11. IF THE WATER STONE IN MAX 6" 5. AT NO TIME CONTAINMENT AREA IS MORE THAN 1 3 FULL OF SEDIMENT, THE UNIT MUST BE EMPTIED ...LIFTS HAND TAMPED ��1,/ � a EXISTING Dr, NEW DRAINAGE SYSTEMS. RUNOFF FROM DISTURBED SURFACES SHALL BE DIRECTED THROUGH / DEWATERING BAG EXTEND STONE BED I VARIES g ASINS AND EROSION CONTROL MEASURES PRIOR TO ENTERING ANY ENVIRONMENTALLY SENSITIVE IMMEDIATELY. SETTLING PTHE DRAINAGE SYSTEM. � co CL CL AREAS OR DISPOSAL OF THE ACCUMULATED SEDIMENT MUST 8E IN ACCORDANCE WITH 6" TO MIN. 48 BELOW OF PIPE 1 " v l U} ¢ v • OUTFACES AT ALL APPLICABLE LOCAL, STATE. AND FEDERAL GUIDELINES AND REGULATIONS. 6 MIN. � a BAGS AND 6. DEWATER ALL EXCAVATIONS AND TRENCHES, AS REQUIRED, WITH DEWATERING BA � � FINISH GRADE ( } � � CONTROLLED TEMPORARY SETTLING BASINS. MONITORINGIMAINTENANCE PROCEDURES AFTER PROJECT COMPLETION SHALL - - - -- '- n "12. W�WLL BE THE RESPONSIBILITY OF THE OWNER AND ARE AS FOLLOWS: *,� 12 J W B Q MPORARY SEED OR MULCH AND EROSION CONTROL BLANKETS (ECB) TO ALL AREAS I. PAVED AREAS: 7. INSTALL TL N OF GRADES. PARKING LOT, ROAD AND ALL ACCESS WAYS AND GUTTERS SHALL BE SWEPT CLEAN OF 3 j4ST014 i� CRUSHED SIDE VIEW. a C IMMEDIATELY UPON FORMATION STONE UNDERLAY g TYPICAL. TRENCH SECTION B. SURFACE TABILIZATION MUST BE IMPLEMENTED WITHIN 14 DAYS AFTER CONSTRUCTION ACTIVITY IN A All DEBRIS. 'SWEEPING SHALL BE PERFORMED,`AT A MINIMUM, IN MARCH AND OCTOBER zw PORTION CI. THE SITE THAT HAS CEASED OR IS TEMPORARILY HALTED. OF EACH YEAR. 2 DETAIL OF DEINATER[NG BAG C4.3 N.T.S. � w � `� 2. QATCH BASIN: C4.1 SCALE: N.T.S. o . 9. AS SOON AS PAVIN G OF DRIVES IS COMPLETED, ALL DRAINAGE STRUCTURES SHALL BE CLEANED OF ANY CATCH BASIN SHALL BE INSPECTED TO ENSURE THEY HAVE ADEQUATE SUMP CAPACITY, ACCUMULATED SEDIMENT. THEREAFTER, CLEAN UP SHOULD FOLLOW LONG TERM MAINTENANCE PLAN. OIL/GREASE TRAPS ARE IN PLACE, FRAMES AND GRATES ARE NOT DAMAGED AND Z 0 DRAINING FREELY. STRUCTURES SHALL BE INSPECTED MONTHLY. CATCH BASIN SUMP O DEVICES ON A WEEKLY BASIS, REPAIR SHALL' BE CLEANED AT LEAST FOUR TIMES A YEAR AT A MINIMUM. IN ADDITION TO THIS z 10. CONTINUALLY MONITOR ALL SILT BARRIER AND EROSION CONTROL DAMAGED AREAS IMMEDIATELY. REMOVE ALL CAPTURED SEDIMENT AS REQUIRED AND DISPOSE OF. REQUIREMENT, .SHOULD CATCH BASIN SUMPS BECOME FILLED WITH .SEDIMENT TO HALF ITS , ANY V) < co ADDITIONAL MEASURES AS DIRECTED BY THE OWNER, LOCAL DPW, CONSERVATION OFFICER AND THE DEPTH (2') THEY SHALL BE CLEANED. INSTALL A .' Q � � � ARCHITECT/ENGINEER. DISPOSAL OF THE ACCUMULATED SEDIMENT MUST BE IN ACCORDANCE WITH ALL APPLICABLE LeBARONLV--244E-2 / t1 0 0 110 11. CONTRACTOR SHAM REDUCE SURFACE AND AIR MOVEMENT OF DUST FROM EXPOSED SOIL SURFACES AS REQUIRED LOCAL, STATE, AND FEDERAL GUIDELINES AND REGULATIONS. THE RESULTS OF THE FRAME & (2) GRATE L•J SUCTION ACTIVITIES. CONSTRUCTION ACTIVITIES SHALL BE SO SCHEDULED SO THAT THE LEAST AREA INSPECTIONS, ALONG WITH THE DETE RMINA11ON OF ANY REMEDIAL WORK THAT MAY BE FOUND FURNISHED w/ (3) FLANGES z BY CONSif SEE STANDARD TRAFFIC CONTRACTOR SHALL TO BE NECESSARY AS. A RESULT OF ;THE INSPECTION, SHALL BE SUBMITTED TO THE BOH SET IN FULL BED OF MORTAR SOIL 1S EXPOSED AT ONE TIME. 1N DISTURBED AREAS NOT SUBJECT TO , BEDS ,, PAVING DETAIL OF DISTURBED 0 ON. ' PROVISIONS `FOR 'INSPECTIONS AND ANY REMEDIAL Ix USE TEMPORARY SEEDING AN D MULCHING OPERATIONS. IN DISTURBED AREAS SUBJECT TO TRAFFIC, CONTRACTOR WITHIN (30) DAYS OF THE. INSPECTION. SHALL BE THE RESPONSIBILITY OF THE OWNER. T, , URFACE WITH WATER TO MINIMIZE DUST. DUST CONTROL MEASURES SHALL BE MAINTAINED REPAIRS DEEMED NECESSARYV ,INKLE S 3-t j2 BITUMINOUS ' • �1 r m c SHALL 5PI' I DRY WEATHER PERIODS UNTIL ALL DISTURBED AREAS HAVE BEEN PERMANENTLY STABILIZED. TRU TiON SHALL BE BY THE CONTRACTOR AFTER PROJECT COMPLETION CONCRETE PAVING Jilli'lI THROUGH OPERATION PROCEDURES DURING CONS C li!1:,nmldllI) Z � PERMANENT VEGETATION. OPERATION PROCEDURES SHALL BE THE RESPONSIBILITY OF THE OWNER AND ARE AS FOLLOWS: 12. REMOVE SII�T BARRIER AND EROSION CONTROL MEASURES ONLY AFTER ESTABLISHMENT OF PER S STD. MANHOLE RISER DETAIL I 111u1:o�: �:�:�:Inlllll� II I' � L 1. GOOD HOUSE KEEPING AND MATERIAL MANAGEMENT REDUCE THE RISK OF SPILLS OR I I '11�111jI1` ' I� I LL GENERAL NOTES OTHER ACCIDENTAL EXPOSURE OF MATERIALS AND SUBSTANCES TO STORMWATER RUNOFF. A PREVENTION PLAN (SWPPP) SHALL BE DEVELOPED 1-1/2" WEARING COURSE BY THE CONTRACTOR WHICH SHALL' INCLUDE THE FOLLOWING AT A MINIMUM: " PRECAST REINFORCED TOP 1. TOPOGRAt HIC INFORMATION TAKEN FROM THE DEFINITIVE SUBDIVISION DRAWINGS PREPARED 2 BINDER COURSE n _ _ A. ALL MATERIALS STORED ON -SITE WILL BE STORED IN A NEAT, ORDERLY MANNER IN SLAB WITH "O" RING BY GARCIA ENGINEERING, INC. ENTITLED VENTURA MINI -PARK", REVISED 2 28 88, PROPERTY LINE INFORMATION WAS TAKEN FROM PLAN BY OLDE B OSTON LAND SURVEY CO. INC. AND SITE THEIR APPROPRIATE CONTAINERS AND, IF POSSIBLE, UNDER A ROOF OR OTHER ENCLOSURE. " PREPARED FOR ANIMAL B. PRODUCTS SHALL BE KEPT IN THEIR ORIGINAL CONTAINERS WITH: THE ORIGINAL �� 8" MASS. SPEC. M1.03.1 PRECAST REINF. CONCRETE OUTLET PLAN PREPARED BY FERREIRA ENGINEERING, INC ENTITLED SITE PLAN " REVISED 5-11-01. MANUFACTURER'S LABIEL. GRAVEL BASE PLACED - MANHOLE SECTIONS TO RESCUE LEAGUE OF NEW BEnFORD ,SUBSTANCES SHOULD NOT BE MIXED WITH ONE ANOTHER, UNLESS RECOMMENDED o0 1N (2) 4" LIFTS AND CONFORM TO ASTM C-478 SEAL WATERTIGHT . C. SUBS 2. CONTRACTOR SHALL RETAIN THE SERVICES OF A REGISTERED LAND SURVEYOR TO LAYOUT ON BY THE MANUFACTURER. 5 Z COMPACTED TO 957, SEAL JOINTS w/ 1-1/4" w/THIOKOL OR EQUA�- GROUND ALL NEW ELEMENTS OF WORK. THE NEW WORK IS TO BE COMPLETED, MARKED, AND II-�= �--L i� MASTIC JOINT GASKET '-O" LeBARON MODEL "S0UT" THE D. WHENEVER POSSIBLE, ALL OF A PRODUCT Will BE USED UP BEFORE DISPOSING OF --j- II-ll-1� �- SIMILAR TO KENTSEAL LAID OUT ON THE GROUND, REVIEWED AND APPROVED BY THE ARCHITECT PRIOR TO - - A CONTAINER.. --11-III-.j 1-11a � I SUITABLE .STABLE #8 SUMP IF ANY WORK IS INSTALLED PRIOR TO THE ABOVE REQUIREMENT BEING MET, AND I I_j�j-llfr OIL & TRASH HOOD FTHEINSTALLATION.ENGINEER, CONTRACTOR SHALL REPLACE SUBGRADE OR APPROVED EQUALS IF THE WORK }5 NOT SATISFACTORY IN LAYOUT TO THE N E. THE SYSTEM'S MANAGER SHALL INSPECT THE SITE DAILY TO ENSURE PROPER USE THE WORK AT NO COST. AND DISPOSAL OF MATERIALS ON -SITE, DURING ALL CONSTRUCTION PHASES „ „ F. ORIGINAL MATERIALS LABELS AND MATERIAL SAFETY DATA SHEETS SHALL BE KEPT; 3. PRIOR TO ANY EXCAVATION, IN ADDITION TO "DIG SAFE". NOTIFY APPROPRIATE UTILITY THEY RETAIN IMPORTANT INFORMATION. COMPANY OR AUTHORITY TO VERIFY EXACT DEPTH AND LOCATION OF EXISTING UNDERGROUND 3 STANDARD PAVING SECTION LOCATIONS AND DEPTHS OF EXISTING UTILITIES SHOWN ARE APPROXIMATE ONLY AND G. PETROLEUM PRODUCTS: C4.1 N.T.S. 6" LAYER OF 3/4" TD UTILITIES, THE CONTRACTOR SHALL BE RESPONSIBLE TO LOCATE AND PROTECT UTILITIES IN THE FIELD 1.) ALL ON -SITE VEHICLES AND PARKING AREAS SHALL BE REGULARLY MONITORED WHETNE!T OR NOT SHOWN ON THE DRAWINGS. FOR LEAKS AND RECEIVE REGULAR PREVENTIVE MAINTENANCE TO PREVENT LEAKAGE 5'-0" 1-1 j2 E COMPACTED 2. PETROLEUM PRODUCTS SHALL BE STORED UNDER COVER AND SHAM BE IN CRUSHED STONE 4. STORM DRAINS 12" AND OVER SHALL BE REINFORCED CONCRETE PIPE WITH 0-RING JOINTS ) 6" 5" 5" 6" TIGHTLY SEALED CONTAINERS WHICH ARE CLEARLY LABELED. 5. STORM DRAINS 10 AND UNDER SHALL BE MANVILLE ASTM D-3034 SDR-35 P.V.C. SEWER H. FERTILIZERS: 7 CATCH BASIN DETAIL DOUBLE G RAT .....' �„ PIPE WITH PUSH -ON RUBBER RING JOINTS. 1.) FERTILIZERS SHALL ONLY BE USED IN THE MINIMUM AMOUNTS AS RECOMMENDED .._ C4.i N.T.S. � 6. WATER AND FIRE SERVICE PIPING SHALL BE CLASS 52 DOUBLE CEMENT LINED DUCTILE BY THE MANUFACTURER. IRON WITH TYTON JOINTS. FITTINGS SHALL BE 350 LB. GREY IRON CASTINGS WITH 2.) THE CONTENTS OF ANY UN -USED FERTILIZER SHALL BE TRANSFERRED TO A 0 0 = MECHANICAL JOINT ENDS. ALL BENDS, TEES, ETC., SHALL BE JOINT RESTRAINED BY CLEARLY LABELED, SEALABLE PLASTIC BIN, TO AVOID SPILLAGE. THE USE OF CONCRETE THRUST BLOCKS. ~ H- 1. PAINTS, SOLVENTS. 0 0 7. GATE VALVES SHALL BE CAST IRON BODY BRONZE MOUNTED, 200 PSI, COMPLETE WITH 1.) ALL PAINTS AND SOLVENTS SHALL BE STORED IN ORIGINAL MANUFACTURER'S DEPTH, REFER TO STANDARD U) < :�i ROAD BOX AND CONFORMING IN EVERY RESPECT TO LOCAL SPECIFICATIONS. CONTAINERS IN A COVERED LOCATION. MANHOLE DETAIL FOR EACH APPROX, EXISTING EDGE OF PAVING OR INDIVIDUAL STRUCTURE Z 2.)_ THE USE OF PAINTS AND SOLVENTS SHALL, WHENEVER POSSIBLE, BE LIMITED TO 1-1/2" TOP COURSE INITIAL TRENCH CUT _ RUN 3/4" THICK MORTAR SERVICE OR STORAGE BAYS AND NOT IN PARKING OR ACCESS WAYS THAT ARE WATERPROOFING UP AND OVER O DEMO LEGEND TRIBUTARY TO THE DRAINAGE SYSTEM. PRIOR TO PLACING OF MIX SAWCUT 2 SPILL CONTROL PRACTICES: EX. PAVING 12" AND PLACE NEW MANHOLE FLANGE in j BASE ON FIRM BEARING X REMOVE & DISPOSE A. MANUFACTURER'S RECOMMENDED METHODS SHALL BE CLEARLY POSTED FOR SPILL BUILD MANHOLE TO FIN. GRADE 1 C >- 0 Q R&D REMOVE & DISPOSE CLEAN-UP AND SITE PERSONNEL SHALL BE MADE AWARE OF THE PROCEDURES AND THE W/ 8 SEWER BRICK MIN. OF (4, LOCATIONS OF CLEAN-UP INFORMATION AND SUPPLIES. &MAX. OF (6) COURSES OF 8R•CK (, j� O O ABANDON EXIST G. UTILITY IN PLACE EX. PAVING THICKNESS DEPTH VARIES 3/4" THICK CEMENT MORTAR !- = I- r_;,�- REMOVE & DISPOSE OF EXIST G. UTILITY B. MATERIAL AND EQUIPMENT NECESSARY FOR SPILL CLEAN-UP WILL BE KEPT ON -SITE IN A _ ON OUTSIDE Z DESIGNATED MATERIAL STORAGE AREA, EQUIPMENT WILL INCLUDE, BUT NOT BE LIMITED TO, IW < w Q BROOMS, DUST PANS , MOPS, RAGS,. GLOVES, GOGGLES, ABSORBENT MATERIALS, SAND, 1-1/2" BINDER COURSE " .__J u > 0 SAWDUST AND PLASTIC & METAL TRASH CONTAINERS SPECIFICALLY KEPT AND LABELED FOR THICKEN IN CUTBACK 12 EX. GRAVEL BASE DEMOLITION NOTES THIS PURPOSE. TO MATCH EX. AS REQ'D. DEPTH VARIES DIAMETER, REFER TO STANDARD W Q N <C C. ALL SPILLS WILL BE CLEANED -UP IMMEDIATELY AFTER DISCOVERY. , , MANHOLE DETAIL FOR EACH �' PROTECT EXISTING UTILITIES AS SHOWN DURING NEW NEW BLDG CONSTRUCTION. .:: �: 1. P :.'•:::�`.�:;•:: ��•:;�::,�._•;,;',�,�` INDIVIDUAL STRUCTURE W U 'L. MAY BE PULVERIZED ON SITE & REUSED WHEN MIXED WITH D. SPILLS OF TOXIC OR HAZARDOUS MATERIAL OR NATURE WILL BE REPORTED TO THE NEW GRAVEL BASE AS REQ'D. PAINT FACE OF 4': •� '` ` ` '`' W I- 2. REMOVED PAVING MAT MASPEC M1.03.1 NEW � :.. "�''� W � Z OTHER MAT'L., PROVIDED IT MEETS THE REQUIREMENTS OF THE DOCUMENTS OR LEGALLY APPROPRIATE STATE, " LOCAL OR FEDERAL AGENCY, AS REQUIRED BY-LAW. E. THE SPILL EXISTING SAWCUT w/BITUMEN r '•~' ., G _ DISPOSED OF AT AT OFF -SITE LOCATIONS. BROKEN -UP PAVING MATERIAL SHALL NOT BE PREVENTION PLAN WILL INCLUDE PROVISIONS TO ADAPT THE PLAN TO ENSURE THAT SPILLS ~ IL � DISPOSED OF OR COVERED ON SITE UNLESS IT IS PROPERLY PULVERIZED & ONLY IN WILL NOT REOCCUR, AND HOW TO CLEANUP THE SPILL IF THERE IS ANOTHER ONE. = 4 D E.TAI L O F PAV I N G AD D III O N B MANHOLE RISER D ET'AI L AREAS APPROVED BY THE ENGINEER. �-+ JOB N0. 999031.00 3. IN AREAS WHERE THE FINISH MATERIAL WILL BE PAVING (ROADWAYS,PARKING AREA OR C4.1 AT EXISTING AREAS C4.1 N.T.S. DWG. N0. CONCRETE WALKS) REMOVE TO THE INDICATED SUB -GRADE LEVEL PROOF ROLL, TEST AND EROCEED WITH PLACEMENT OF NEW GRAVEL COURSE TO THE SPECIFIED THICKNESS. N.T.S. 4. IN AREAS TO BE LANDSCAPED, CUT OR FILL OVER THE BASE COURSE TO BRING UP TO THE SUB -GRADE LEVEL 5. ALL EXISTING BASE COURSE MATERIAL MAY BE USED FOR FILL IN AREAS SPECIFIED C4w I WITH ORDINARY BORROW. _ Workers Compensation Insurance Affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the buildingMGL 152 Section 25A permit { ). Signed Affidavit Attached: ❑ Yes 1 ❑ No ❑ New Construction ❑ Addition o Repairs o Accessory Building (Shed/Garage/Other) o Other (Specify Sec. 6) ❑ Demolition ❑ ign ❑ Replacement window/door No. of Windows Doors o! Fire Protection The following descriptions are based on the Massachusetts State Building 7th Edition, Code Article 3, as noted. See the Code. • Assembly -restaurant, lounge, theater, school, etc. (see Code Section 303.0) Describe: ❑ Business - office, assembly with less then 50 occupants indicate Medical or other professional (see Code Section 304.00) ❑ Education - struction for training including child daycare for those over 2 year 9 months (see Code Section 305.0) ❑ Factory/Industrial (see Code Section 306.0) ❑ High 'Hazard (see Code Section 307.0) ❑ Institutional - hospital, nursing home, infant day-care (see Code Section 308.0) • Mercantile - retail stores (see Code Section 309.0) ❑ Residential -three or more family, hotel (see Code Section 310.0) ❑ Storage including garage (see Code 311.0) ❑ Utility & Miscellaneous Structures- includes tents and agricultural structures (see Code Section 312.0) ❑ New Tenant - for any of the above, please indicate (see Code Section 110.0) • Tent or Trailer - temporary Purpose? ❑ Other: Describe the proposal, INCLUDE number of dwelling units and bedrooms or occupant load as applicable; also existing condition (if extra space is needed, attach an additional sheet): AZ -f s� ❑New construction and/or Additional (total gross cubic feet proposed) - indicate If the project is an addition to existing structure total gross square feet of existing: ❑ Alteration of existing, no increase in gross square feet. A separate Refuse Disposal Declaration is required. Will this project be subject to CONSTRUCTION CONTROL (over 35,000 cu. ft.) ❑ Yes ❑ No If Yes, see Code Section 116.0 Designer to submit Code, Synopsis in additional to original plans and if existing building Section 3402.1.1 Will this project require Peer Review (over 400,000 cu ft.) ❑ Yes ❑ No (see 110.11.1 Code) APPLICANT TO PROVIDE PEER REVIEW AT THEIR EXPENSE. SEE 780 CMR. ❑ Demolition* - describe structure: o Trench Permit Required? " ❑ Yes ❑ No See Trench Requirements G.L.C. 82A and 520 CMR 7,00 et seq., ❑ Moving* - (provide copy of DPW moving license) `Type of structure: from where (map/lot or address): to where (map/lot or address): number of dwelling units: number of bedrooms per dwelling unit: ❑ Replacement doors and windows - (for existing only) (only where doors and windows exist and will not be enlarged)) EGRESS dimensions must be maintained. ❑ Temporary structure and uses includes, when allowed, new tenants, trailers, tents and the like and only for limitedi'periods of time. Describe: ❑ Furnace (hot air) - fuel gas (natural or propane), fuel oil, electricity, other (specify): ❑ Boiler (heating) - fuel gas (natural or propane), fueloil, electricity, other (specify): ❑ HVAC (combined unit) - primary fuel, natural gas, propane, electricity, other (specify): ❑ Air conditioning - (separate unit) Roof Top Unit (RTU) New ❑ Replacement ':❑ ❑ None of the above to be provided Mechanical Ventilation i❑ ❑ Hot Water' Gas Electric Fuel Oil Other ❑ Required: plans provided plans not provided, why? ❑ Not required, not to be installed, why? Narrative Submitted? ❑ Yes ❑ No ❑ Parking plait submitted to: Building Dept. Planning Board Date submitted Number of spaces indoors outside ITotal provided Handicap spaces - required Yes No if Yes, how many as a part of the total required number Is Route 6 (State Road) entrance permit required? Yes No if Yes, has it been issued? Yes No, Submit copy of application and/or permit as soon as available. 11.1 Architect/Engineer - for overall design Company Name: Address: Phone #: Certified by State of Massachusetts as: Certification Number: Note: Signatures and seals on all plans, affidavits & other documents SHALL BE originals and not reproductions._ 11.2 Architect/Engineer - project supervision and reports Company Name: Address: Phone #: Certified by State of Massachusetts as: Certification Number: Note: Signatures and seals on all plans, affidavits & other documents SHALL BE originals and not reproduction s; . 1`1.3 General Contractor Company Name:h Address: Phone #: Construction Supervisors License Number; Note Signatures and seals on all plans, affidavits & other documents SHALL BE originals and not reproductions. Page 2 rage (Plea a Print) - I, &, / j r-ra rL �_, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I �m� as Owner/Authorized Agent hereby "declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Si aed_under the pains and pen Ities of perjury. Signature of Owner/Authorized Agent Date ' 1. Date Plan Review:'// 2. 30 Days to Review Period Expires 3. OK to Issue Date: 4. Per78i0 CMR 111.1 Rejection Letter Sent: 5. HOLD - Reason: Date: 6. HOLD - Subject to Zoning Board of Appeals Action: 7. Comments: C? 8. Inspector's Signature: Date` l Date: Tim Applicant informed of above- Cl�rk/�,Jf Comments:�® f DEPARTMENTAL APPROVAL Zoning Review: Signature: Date: Energy Report: Signature: Date'. Fire Chief: Signature: Date: Board of Health: Signature: Date: Conservation Commission: Signature: Date: Other: Signature: Date: Brief description of Work being performed: 1.1 NUMBER OF PLANS SUBMITTED: 1.2 SITE PLAN SUBMITTED: ❑ Yes T] No i 1.4 Assessors Ma & Lot Number: 1.3 Property Address: �� �y1� t V(� "t� p a Map 3 Lot - Nearest Cross Street: 1.5 Water Supply (MGL c40 s54): Business Name: A P C A-U+-&6cdt, O Municipal 0 Private Well Business Phone#: 1.6 Sewage Disposal System: Total Land Area Sq. Feet: ❑ Municipal ❑ On Site Disposal Systerm Page 4 Pagel' Revised 9/09